Early in 2011, Kansas Health Information Network (KHIN) implemented a statewide health information exchange (HIE) to connect a broad geographic region that covers large urban and rural areas in Kansas. KHIN’s original goal was to connect 80% of all health care providers by 2016, and has far exceeded its 2011 goal of 400 providers by connecting over 1000 providers in 2011. KHIN covers a broad territory that includes all of Kansas encompassing 130 hospitals, 4500 physicians, 75 rural health and safety net clinics, 100 public health departments, 22 community mental health centers, 400 post acute care facilities, 600 pharmacies and 125 labs. Dr. McCrary will discuss the successes and challenges of the first year, including how secure clinical messaging/DIRECT has been an early WIN and how KHIN plans to leverage state level databases including the immunization registry, prescription monitoring programs, reportable disease reporting and syndromic surveillance to prepare for Stage 2 Meaningful Use requirements. Dr. McCrary will also address the challenges associated with cross state exchange of data including healthcare policy and technology infrastructure necessary to address discrepancies associated with patient consent and “break the glass”; for example Kansas is an Opt-Out state and Missouri is Opt-In state. Dr. McCrary will also discuss the challenges associated with interoperability and the EHR vendors’ readiness to utilize XDS.b and other IHE standards for the transport of personal health information (PHI). Currently, KHIN is preparing for a July 1, 2012 “go live” date when health data on over 1,000,000 patients will be available to KHIN authorized users. Dr. McCrary will also present an overview of the ICA CareAlign® platform, especially CareConnect which enables the exchange of patient information and secure clinical communications across this broad and diverse geographic and demographic area. Objectives: How to develop critical physician and patient participation How to manage the differences between urban and rural HIE needs How secure clinical communications facilitates transitions of care Impacting public health with an HIE How the right technology platform is critical for HIE success

1. Sharing data,
embracing opportunity
HEALTH INFORMATION EXCHANGE
IN KANSAS
KHIN
K AN S AS H E AL T H
I N F O R M AT I O N N E T W O R K

2. Kansas Health Information Network (KHIN)
A Provider Led, Statewide Health Information
Exchange
KHIN

3. Kansas Health Information Network (KHIN)
Mission:
To improve health care
quality, coordination
KHIN and efficiency through
the exchange of health information at the
point of care utilizing a secure electronic
network provided by a collaboration of
health care organizations.

4. Kansas HIE Governance
KHIN

5. KHIN HIE Strategic Participants
KHIN

6. KHIN Adoption 4/13/12

7. KHIN DEPLOYMENT
Patient
Consent GO LIVE
Materials July 2012
Deployed
June 2012
Training
June 2012
User Acceptance
Testing- May 2012
KHIN Early Adopters July 2012
1. Via Christi Health System, Wichita Ministries
2. HCA-Wesley Medical Center
• Data Testing January -May 3. Hutchinson Clinic
2012 4. Pratt Regional Medical Center
5. Hays Medical Center
KHIN Phase 2 July-December 2012
1. Kansas University Hospital
2. Salina Regional Medical Center
3. Great Plains Health Alliance-Selected Hospitals
4. Newton Medical Center
5. Wichita eClinicalWorks Participants
6. Kansas Spine Hospital
7. Community Health Center of SE Kansas
8. Comanche County Hospital
9. Meade District Hospital
10. Morton County Health System
11. Mercy Regional Health Center
12. Wamego City Hospital
13. Via Christi Hospital in Pittsburg
14. Southwest Medical Center

8. HIE & Care Coordination
Clinical Integration
Population-based Care Model
Patient
Patient Engagement Centered
KHIN
Informed Care Collaboration
Transitions of Care
Patient
Data Exchange & HIE Services Portability
Informatics Corporation of America - Proprietary and Confidential Information 8

9. KHIN/KHIE Minimum Data Set
KHIN
Demographics for Patient Matching &
Full Name of Source of Information
Procedures
KHIN
Medication Lists
Diagnostic Test Results
Problem Lists/Diagnosis
Allergies
Immunizations

10. Key Project Deliverables
Milestone Achieved
PA – BAA
VPN Tunnel
Channel Development
Received Production Data
ICA Internal analysis
KHIN Build Parsers
Integration testing
Promote data to UAT
Client completes and signs off on UAT
Training plans developed
Training begins
Promote Data to ICA Production Environment
Go - LIVE!
Transition to Support

11. KHIN Suite of Products
KHIN
• Secure clinical messaging/DIRECT
• Portals—provider and patient
• Full HIE functionality

12. Contact Information
Laura McCrary Ed.D
Executive Director
KHIN 623 SW 10th Avenue,
Topeka, Kansas 66612-1627
Office: 785-861-7490
Mobile: 785-409-5200
lmccrary@khinonline.org